1.Some clinical characteristics and care of diabetes- induced foot ulcers
Journal of Practical Medicine 2005;512(5):44-46
With regard to biopathology, diabetes- induced foot ulcers caused by nerve pathology and artery and vessel lesions. The foot’s lesions was often easy to treat because they were small and secondly surinfection. The nerve pathology caused deformation and sensation disorders. The ulcer’s position arranged in gradual decreased order: fingers, skin area opposite the tip of foot bone, middle area of foot and heel. S.aureus and Streptococcus sp. were the two most common bacteria in surface infections. Inversely, in deep infections, bacteria often changed and combined strains. Local care had an important role in the treatment.
Diabetes Complications
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Foot Ulcer
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Clinical Medicine
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Diagnosis
2.Watch the Tongue.
Annals of the Academy of Medicine, Singapore 2015;44(12):575-576
Adult
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Coinfection
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HIV Infections
;
complications
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Humans
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Male
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Oral Ulcer
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complications
;
diagnosis
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Syphilis
;
complications
;
diagnosis
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Tongue Diseases
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complications
;
diagnosis
3.Retrograde Duodenoduodenal Intussusception: An Uncommon Complication of Peptic Ulcer.
Ayşe KEFELI ; Sebahat BASYIGIT ; Abdullah Ozgur YENIOVA ; Metin UZMAN ; Bora AKTAŞ
Chinese Medical Journal 2015;128(21):2981-2982
Humans
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Intussusception
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diagnosis
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Male
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Middle Aged
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Peptic Ulcer
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complications
5.Serial Episodes of Gastric and Cecal Perforation in a Patient with Behcet's Disease Involving the Whole Gastrointestinal Tract: A Case Report.
Dong Yeob SHIN ; Jae Hee CHEON ; Jae Jun PARK ; Hoguen KIM ; Tae Il KIM ; Yong Chan LEE ; Nam Kyu KIM ; Won Ho KIM
The Korean Journal of Gastroenterology 2009;53(2):106-110
Behcet's disease (BD) has been recognized as multi-systemic chronic vasculitic disorder of recurrent inflammation, characterized by the involvement of multiple organs and resulting in orogenital ulcers, uveitis, and skin lesions. Involvement of the central nervous system, vessels, and intestines in BD often leads to a poor prognosis. Digestive manifestations in BD have been reported in up to 1-60% of cases, although the rate varies in different countries. The most frequent extra-oral sites of gastrointestinal involvement are the ileocecal region and the colon. Gastric or esophageal involvement is reported to be very rare. Moreover, there have been no reports on the simultaneous involvement of the esophagus, stomach, ileum, and colon. Here, we present a 55-year-old Korean man with intestinal BD and multiple ileal and colonic ulcerations complicated by perforation, gastric ulcer with bleeding followed by perforation, and esophageal ulcers with bleeding.
Behcet Syndrome/complications/*diagnosis/pathology
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Cecal Diseases/complications/pathology
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Diagnosis, Differential
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Endoscopy, Digestive System
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Gastrointestinal Diseases/complications/*diagnosis
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Gastrointestinal Hemorrhage
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Humans
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Intestinal Perforation/*diagnosis/etiology/pathology
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Male
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Middle Aged
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Peptic Ulcer Perforation/pathology
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Stomach Ulcer/complications/pathology
6.Recurrent and persistent pityriasis rosea: an atypical case presentation.
Sai Yee CHUAH ; Hui Yi CHIA ; Hiok Hee TAN
Singapore medical journal 2014;55(1):e4-6
We report a case of atypical pityriasis rosea in a 24-year-old Malay man. He presented with an 11-month history of three recurrent and persistent episodes of pityriasis rosea associated with oral ulcers. The first episode lasted for one month and recurred within 14 days. The second episode lasted for three months and recurred within nine days. The third episode lasted for seven months. Although all three episodes were not preceded by any prodromal symptoms, a herald patch was noted on three different sites (the left iliac fossa, abdomen and chest) on each successive episode. Recurrent pityriasis rosea and its association with oral ulcers, although quite uncommon, have been reported in the literature. However, reports of multiple recurrences, with prolonged duration of each episode and very short remissions in between, have not been made. To the best of our knowledge, this is the first report of such unique presentation.
Adult
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Diagnosis, Differential
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Exanthema
;
diagnosis
;
pathology
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Humans
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Male
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Oral Ulcer
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complications
;
diagnosis
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Pityriasis Rosea
;
diagnosis
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pathology
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Recurrence
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Treatment Outcome
7.A case of Behcet's syndrome with supeior vena cava syndrome.
Dong Soo HAN ; Jin Bae KIM ; Oh Young LEE ; Joo Hyun SOHN ; Kyung Nam PARK ; Choong Ki PARK
The Korean Journal of Internal Medicine 1998;13(1):72-75
Behcet's syndrome is a multi-systemic and chronic disorder that affects many organs. It has been suggested that the diagnosis was based on the presence of the 'major' and 'minor' clinical criteria. When thromobophlebitis, arthritis, central nervous system or gastrointestinal lesions are also present. Behcet's syndrome will be thought to be present in the appropriate geographic area. We report a case of superior vena cava syndrome caused by Behcet's disease in a 40-year-old man with recurrent oral aphthous ulcers and skin rashes on the anterior chest wall. There were multiple thrombosis of the superior vena cava, innominate and subclavian veins. This patient also had a solitary cecal ulcer with an ileocecal fistula and downhill varix. The chest CT, veno-cavography, pulmonary angiography and colon study were taken and follow-up was performed.
Adult
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Behcet's Syndrome/diagnosis
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Behcet's Syndrome/complications*
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Cecal Diseases/complications
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Human
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Intestinal Fistula/complications
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Male
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Superior Vena Cava Syndrome/etiology*
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Superior Vena Cava Syndrome/diagnosis
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Ulcer/complications
8.A Case of Hemophagocytic Syndrome with Terminal Ileal Ulcerations.
Jae Hyun MOON ; Sung Pyo HONG ; Pil Won PARK ; Kwang Hyun KO ; Seong Gyu HWANG ; Kyu Sung RIM ; Hee Jung AN ; Myung Seo KANG
The Korean Journal of Gastroenterology 2006;48(3):205-209
Reactive hemophagocytic syndrome or hemophagocytic lymphohistiocytosis, is characterized by the proliferation of benign histiocytes showing phagocytosis of blood cells in hematopoietic organs including bone marrow, spleen, or lymph nodes, accompanied by fever, hepatosplenomegaly, hepatic dysfunction, pancytopenia, and hypertriglyceridemia. The pathogenesis of reactive hemophagocytic syndrome is unknown. It is often associated with infection, malignant neoplasm, autoimmune disease, drugs and various immunodeficiencies. The prognosis of this syndrome is poor and the causes of death are hemorrhage, infection, or multiorgan failure. We experienced a case of hemophagocytic syndrome with terminal ileal ulcers, not associated with other causes. Thus, we report this case with a review of literatures.
Adult
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Fatal Outcome
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Humans
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Ileal Diseases/complications/*diagnosis
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Lymphohistiocytosis, Hemophagocytic/complications/*diagnosis/pathology
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Male
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Tomography, X-Ray Computed
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Ulcer/complications/*diagnosis
9.A Case of Intramural Duodenal Hematoma Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.
Min Keun SONG ; Joon Beom SHIN ; Ha Na PARK ; Eun Jin KIM ; Ki Cheun JEONG ; Dong Hwan KIM ; Jae Bock CHUNG ; Do Young KIM
The Korean Journal of Gastroenterology 2009;53(5):311-314
Intramural duodenal hematoma is an uncommon condition, which usually develops after blunt abdominal trauma. It is also reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease, and diagnostic and therapeutic endoscopy. The typical clinical pictures of intramural duodenal hematoma consist of upper abdominal pain, vomiting, fever, and hematochezia, and it is rarely accompanied by intestinal obstruction, peritonitis, and pancreatitis as its complication. We report a case of intramural duodenal hematoma extended to peritoneal cavity, and accompanied by acute pancreatitis following therapeutic endoscopy for duodenal ulcer bleeding in a 32-year-old man who was on maintenance of anti-coagulation therapy after valvular heart surgery.
Acute Disease
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Adult
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Diagnosis, Differential
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Duodenal Diseases/*diagnosis/pathology/surgery
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Duodenal Ulcer/*complications
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Hematoma/*diagnosis/pathology/surgery
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*Hemostasis, Endoscopic
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Humans
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Male
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Pancreatitis/complications/*diagnosis
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Peptic Ulcer Hemorrhage/*therapy
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Postoperative Complications
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Tomography, X-Ray Computed
10.Clinical and pathological analysis of oral manifestations of 40 patients with secondary syphilis.
Hong HUA ; Zhi-min YAN ; Rui-tang SHI ; Yan GAO ; Yan-ying XU
Chinese Journal of Stomatology 2005;40(5):376-378
OBJECTIVETo analyze the clinical and pathological features of 40 patients with secondary syphilis.
METHODSA total of 40 cases of secondary syphilis confirmed by serology were collected during 1994-2004 and were first diagnosed on presentation with oral lesions.
RESULTSThe white patch in oral mucosa was found in 32 cases with painless or slight pain in most cases. The most common site of the lesion was the tongue. The histological examination on eight cases was initially misdiagnosed as oral candidosis or lichen planus, but confirmed as syphilis after serology revealed nonspecific inflammation with intraepithelial microabscess and dense perivascular infiltration of lymphocytes and plasma cells in connective tissue. The symptoms showed dramatic improvement in 16 cases after benzathine penicillin treatment.
CONCLUSIONSThe oral manifestations of syphilis have specific clinical and pathological feature and attention should be paid to the suspicious oral lesions when patients are first presented in a dental office.
Adult ; Female ; Humans ; Male ; Middle Aged ; Mouth Mucosa ; pathology ; Oral Ulcer ; etiology ; Syphilis ; complications ; diagnosis ; pathology